嘈杂，是脾虚肝火得以乘聚也。在胃口，芎归芍药汤加山栀仁、沉香；在胸中，芎归芍
药汤加紫苏；在中焦，白术为君，陈皮、川连佐之，或白术、山药、白芍、莲子、人参、甘草和
之；在下焦，六味丸，切忌燥药。汗下吐后，胸膈不宽，而下嘈杂者，八珍汤，川芎宽胸，
生地退火，不拘有病无病，但遇嘈杂，即加生地。
验案
一人脾胃虚寒，心口嘈杂，用白术一钱五分，川连一分，陈皮五分，吴萸一钱煎服；丸
用白术一两，川连五分，陈皮、吴萸各二钱，神曲糊丸，白汤下。
郁证，乃地气不升，天气不降，致浊气上行而清阳反下陷也。宜保肺以行下降之令，固
肾以助生胃之机，疏肝以转少阳之枢，则天地位而中焦平矣。应用逍遥散以达之。
验案
一人六脉涩滞，胁痛，吐臭痰，恶心，食不下。盖胁者，少阳之部也，抑而不畅，浊气
郁于少阳之络故痛；浊气壅其津液，故吐臭痰而恶心；食不下者，少阳清气不升，则肝不能散精
也，宜调畅肝木，用柴胡、白豆蔻各二分，黑山栀、甘草各五分，白芍、丹皮各一钱，茯苓
、广皮、半夏各一钱五分，归身八分，麦冬二钱。十帖全愈。
惊骇之证，乃心肾不交之故也。心之腑小肠，肾之腑膀胱，肾由膀胱升至肺，由肺而之
心，由心而之肾，其间岂能越一脏一腑而竟可相交乎？若脏腑有邪，则有间隔，阳不得升，阴不
得降，故心肾不交，则心虚而多骇，肾虚而多惊。（张东扶曰∶此乃内气先虚，而猝遇危险
怪异之物，以致心肾不交而惊骇也。若《内经》之肝病发惊骇，足阳明之闻木音惕然而惊，
验案
一人因母病沉重，遂患惊骇。用归脾汤加丹参十帖，丸用天王补心丹而愈。
嘈杂，是由于脾虚导致肝火得以乘袭聚集。若病位在胃口，用芎归芍药汤加入山栀仁、沉香；若病位在胸中，用芎归芍药汤加入紫苏；若病位在中焦，以白术为君药，陈皮、川连为佐药，或者用白术、山药、白芍、莲子、人参、甘草配合使用；若病位在下焦，用六味丸，切忌使用燥性药物。在发汗、攻下或催吐之后，出现胸膈不宽畅且伴有下部嘈杂症状的，用八珍汤，其中川芎能宽胸，生地能退火，无论是否有其他疾病，只要遇到嘈杂症状，就加入生地。
验案：
有一人脾胃虚寒，心口处感到嘈杂，使用白术一钱五分，川连一分，陈皮五分，吴茱萸一钱煎服；制成丸剂则用白术一两，川连五分，陈皮、吴茱萸各二钱，用神曲糊作为粘合剂制丸，用白开水送服。
郁证，是由于地气不升、天气不降，导致浊气上行而清阳反而下陷。应当保养肺气以执行下降的职能，固护肾气以辅助生发胃气的机制，疏泄肝气以转动少阳的枢纽，这样天地位置正常，中焦也就平和了。应用逍遥散来通达气机。
验案：
有一人六脉涩滞，胁痛，吐出臭痰，恶心，饮食不下。胁部是少阳经所主的部位，气机压抑而不通畅，浊气郁结在少阳经络所以疼痛；浊气壅滞津液，所以吐出臭痰并恶心；饮食不下，是因为少阳清气不升，导致肝不能散布精微，应当调畅肝木之气，使用柴胡、白豆蔻各二分，黑山栀、甘草各五分，白芍、丹皮各一钱，茯苓、广陈皮、半夏各一钱五分，当归身八分，麦冬二钱。服用十帖后完全痊愈。
惊骇之证，是由于心肾不交的缘故。心的腑是小肠，肾的腑是膀胱，肾气由膀胱升至肺，由肺进而至心，由心再回到肾，这中间怎么能跨越一个脏和一个腑就直接相交呢？如果脏腑有邪气干扰，就会产生间隔，阳气不得上升，阴气不得下降，因此心肾不交，就会导致心虚而容易受惊吓，肾虚而容易惊恐。（张东扶说：这是由于体内正气先虚，突然遇到危险怪异的事物，以致心肾不交而产生惊骇。如果是《内经》中提到的肝病引发的惊骇，或是足阳明胃经听到木声而惕然惊恐，）
Chaos (Zaocao) is caused by liver fire taking advantage of spleen deficiency to gather and attack. If the location is in the stomach opening, use Xiong Gui Shao Yao Tang (Safflower and Angelica Decoction) added with Gardenia seed (Shanzhiren) and Agarwood (Chenxiang); if the location is in the chest, use Xiong Gui Shao Yao Tang added with Perilla leaf (Zisu); if the location is in the middle jiao, use Atractylodes macrocephala Rhizome (Baizhu) as the sovereign herb, with Tangerine peel (Chenpi) and Coptis Rhizome (Chuanlian) as ministers, or combine Atractylodes macrocephala Rhizome (Baizhu), Chinese Yam Rhizome (Shanyao), White Peony Root (Baishao), Lotus Seed (Lianzi), Ginseng Radix et Rhizoma (Renshen), and Licorice Root (Gancao); if the location is in the lower jiao, use Liu Wei Wan (Six-Ingredient Pill with Rehmannia), strictly avoiding drying herbs. After sweating, purging, or vomiting, if there is a feeling of tightness in the chest and diaphragm accompanied by chaos in the lower abdomen, use Ba Zhen Tang (Eight-Treasure Decoction); Chuanxiong Rhizome (Chuanxiong) expands the chest, and Rehmannia Root (Shengdi) clears heat/fire; regardless of other diseases, whenever chaos occurs, add Rehmannia Root (Shengdi).
Case Record:
A person with spleen and stomach deficiency-cold experienced chaos in the epigastrium. They took decoctions of Atractylodes macrocephala Rhizome (Baizhu) 1.5 qian, Coptis Rhizome (Chuanlian) 0.1 qian, Tangerine peel (Chenpi) 0.5 qian, and Evodia Fruit (Wuyu) 1 qian. For pills, they used Atractylodes macrocephala Rhizome (Baizhu) 1 liang, Coptis Rhizome (Chuanlian) 0.5 qian, Tangerine peel (Chenpi) and Evodia Fruit (Wuyu) 2 qian each, bound with dough made from Medicated Leaven (Shenqu), taken with warm water.
Yu Syndrome (Stagnation Syndrome) occurs when earth qi fails to ascend and heaven qi fails to descend, causing turbid qi to rise upward while clear yang sinks downward. One should nourish the Lung to facilitate its descending function, secure the Kidney to assist the mechanism of generating Stomach qi, and soothe the Liver to turn the pivot of Shaoyang. Thus, heaven and earth will be in their proper positions, and the middle jiao will be peaceful. Xiao Yao San (Free and Easy Wanderer Powder) should be applied to unblock stagnation.
Case Record:
A person presented with choppy pulses in all six positions, hypochondriac pain, expectoration of foul-smelling phlegm, nausea, and inability to eat. The hypochondrium is the region governed by Shaoyang. When suppressed and not flowing smoothly, turbid qi stagnates in the Shaoyall collaterals, causing pain; turbid qi obstructs body fluids, leading to expectoration of foul-smelling phlegm and nausea; the inability to eat is due to the failure of Shaoyang clear qi to ascend, which prevents the Liver from distributing essence. Therefore, one should regulate and smooth Liver Wood Qi, using Bupleurum Root (Chaihu) and White Cardamom Seed (Baidoukou) 0.2 fen each, Black Gardenia Fruit (Hei Shanzhi) and Licorice Root (Gancao) 0.5 fen each, White Peony Root (Baishao) and Moutan Cortex (Danpi) 1 qian each, Poria (Fuling), Broad-leaved Citrus Peel (Guangpi), and Pinellia Tuber (Banxia) 1.5 qian each, Angelica Sinensis Radix (Guishen) 0.8 fen, and Ophiopogon Tuber (Maidong) 2 qian. After ten doses, full recovery was achieved.
The syndrome of Fright and Alarm (Jinghai) is due to the non-interaction between the Heart and Kidney. The fu organ of the Heart is the Small Intestine, and the fu organ of the Kidney is the Bladder. Kidney qi ascends from the Bladder to the Lung, then to the Heart, and returns from the Heart to the Kidney. How can it cross an zang and a fu organ directly to interact? If there are pathogenic factors in the zang-fu organs, barriers arise, preventing Yang from ascending and Yin from descending. Consequently, Heart-Kidney non-interaction leads to Heart deficiency causing frequent alarm, and Kidney deficiency causing frequent fright. (Zhang Dongfu stated: This is because internal qi is first deficient, and suddenly encountering dangerous or bizarre objects causes Heart-Kidney non-interaction resulting in fright and alarm. If referring to the Liver disease causing fright mentioned in Neijing, or the sudden startle upon hearing wood sounds due to Foot Yangming meridian,)
Case Record:
A person developed fright and alarm after their mother became seriously ill. They were treated with Guipi Tang (Restore the Spleen Decoction) added with Salvia Root (Danshen) for ten doses, and pills of Tianwang Buxin Dan (Emperor of Heaven's Special Pill to Tonify the Heart) were used, leading to recovery.